Age of exposure
More than just a receding "hairline"
And the "gum line" in the mouth
recently
"Receding gum line" has become a hot topic on the Internet
Known as the contemporary middle-aged
New troubles
Some netizens said
As we age, our teeth look "longer"
It may be that there is a "receding gum line"
"Receding gum line" is gum recession
Middle-aged people are not only worried about the receding hairline and baldness, but also worried about the "receding gum line". Does "receding gum line" really expose age?
Shen Yuqin, director of the Department of Periodontology at the Affiliated Hospital of Stomatology of Guangzhou Medical University, said that "receding gum line" is clinically called "gingival recession", which is a concomitant lesion of periodontitis.
It has been found that the incidence of gingival recession is very high in older people, but gingival recession is not an ageing change.
According to the fourth national epidemiological survey, less than 10% of people in the 35~44 age group are periodontal healthy. This means that if periodontitis occurs at this age, gum recession occurs to a greater or lesser extent.
According to Shen, the most common causes of gum recession are as follows:
1. Gum recession caused by traumatic operation. For example, excessive brushing force, the use of too hard toothbrushes, and improper use of dental floss and oral irrigators may cause gum trauma or gum recession.
2. Misalignment of teeth or occlusal trauma leads to gingival recession, and there is also a class of iatrogenic triggers. For example, in orthodontics, when there is an unequal force of the teeth during movement, it can also cause the gums to recede. In addition, the orthodontic process can also lead to periodontal inflammation, which in turn can cause gum recession.
3. Periodontitis is one of the main causes of gum recession. Periodontal disease is generally mild at a young age, and most of them will manifest as simple gingivitis, which will not cause gum recession if treated promptly and brushed carefully. However, if periodontitis is not effectively controlled as we age, gum recession can occur.
4. Anatomical factors of the oral cavity. Gingival recession is most likely to occur in the bend of the dental arch, such as the canines and premolars, because the bite force in this gingival area is larger, the tooth root is more prominent, and the labial (buccal) side bone plate is thinner, so the relative support is weaker. Add to that the fact that there is more friction in the corner, just as the corner of a wall or table is more susceptible to trauma, and the gum recession is more likely to occur in this area.
Therefore, gum recession is not an age-related change, but it is also related to age. As we age, the combination of these triggers can make gum recession more likely.
Gum recession occurs, and periodontitis is severe
Compared to a receding hairline, a receding gum line has a much greater impact on health. When gum recession occurs, it may mean that periodontitis is more severe.
When accompanied by gingival papilla recession, the gap between the teeth will increase, which can easily lead to food impaction, and if the impacted food is not cleaned up in time, it will easily lead to tooth root surface caries.
So, what are the clinical treatments for gum recession?
According to Shen Yuqin, it is first necessary to correct some bad habits for the cause, such as correcting the mechanical trauma caused by improper brushing or dental floss.
For patients who have developed gingival recession, it can be clinically improved by membranous gingival surgery. By performing a soft tissue augmentation surgery on the gum area, the receding gums can grow back. "This surgery usually involves taking a piece of gum tissue from your own body, transplanting it to the receding area and then suturing it, and the soft tissue will grow in about two weeks. If the patient is afraid of the pain and bleeding caused by the wound of the grafted gum, there are now artificial biomaterials instead, which can also achieve soft tissue augmentation. ”
Shen Yuqin reminded that in the process of oral treatment, such as orthodontic treatment, there will also be risks and hidden dangers of gum recession, so orthodontic preoperative evaluation is very necessary.
If periodontitis is found, you must pay attention to it
In addition to adhering to correct oral cleaning habits, Shen Yuqin reminded that if there is periodontitis, we must pay attention to it and control the inflammation as soon as possible. "Periodontal inflammation is the main culprit of gum recession, and it is recommended to do periodontal care 1~2 times a year as much as possible. ”
It is worth noting that if periodontal inflammation is not controlled, not only will gum recession occur, but also affect the health of the whole body.
At present, 129 systemic diseases have been confirmed to be related to periodontitis, such as cerebral infarction, myocardial infarction, diabetes, hypertension, etc. At the same time, people with more severe periodontitis have a much higher risk of malignant neoplastic disease than those with healthy periodontology.
Edit | Ren Junfei is in charge of the editor| Zhang Xiuli
Source | Guangzhou Daily, Stomatological Hospital of Southern Medical University
Produced by the Guangdong Health Online all-media team